A client with ESRD reports experiencing severe muscle cramps and twitching. Which nursing intervention is appropriate to address this symptom?

Administering a bolus of intravenous (IV) fluid to increase urine output

Encouraging the client to engage in vigorous physical exercise

Providing prescribed phosphate-binding medications as scheduled

Restricting the client's dietary protein intake to minimal levels

Answer and Explanation

The Correct Answer is C

A. This is incorrect. Administering a bolus of IV fluid may worsen fluid overload and electrolyte imbalances in the client with ESRD. It is not an appropriate intervention for muscle cramps and twitching.

B. This is incorrect. Vigorous physical exercise may exacerbate muscle cramps and twitching in clients with ESRD. Encouraging moderate physical activity is more appropriate.

C. This is correct. Muscle cramps and twitching in clients with ESRD are often associated with elevated phosphate levels in the blood. Phosphate-binding medications can help reduce phosphate levels and alleviate these symptoms.

D. This is incorrect. While dietary protein intake may need to be adjusted for clients with ESRD, restricting protein intake to minimal levels can lead to malnutrition and other complications. It is not an appropriate intervention for muscle cramps and twitching.

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Correct Answer is B

Explanation

A. This is incorrect. While adequate fluid intake is essential for kidney health, increasing fluid intake is not a solution for worsening kidney function. The client should follow the healthcare provider's recommendations for fluid intake based on their kidney function and medical history.

B. This is correct. NSAIDs, such as ibuprofen and naproxen, can be harmful to the kidneys, especially when used for extended periods or in high doses. Avoiding these medications can help protect the kidneys and prevent further damage, especially in individuals with chronic kidney disease.

C. This is incorrect. Regularly consuming foods high in potassium can be detrimental to individuals with compromised kidney function. High potassium levels can be harmful to the kidneys, and clients with kidney disease may need to restrict their potassium intake to protect their kidneys.

D. This is incorrect. High-intensity exercise may not be suitable for all individuals with kidney disease, and the client should consult their healthcare provider before engaging in any exercise program. While regular physical activity can be beneficial for overall health, the type and intensity of exercise should be individualized based on the client's medical condition and fitness level.

A. "I had kidney stones in the past, but they were successfully treated." B. "I have a family history of kidney stones, and my sister also had ESRD." C. "I had kidney stones once, but I changed my diet to avoid them." D. "I never had kidney stones, but I have a history of hypertension and diabetes."

Correct Answer is D

Explanation

A. This statement is reassuring. The client's history of kidney stones in the past does not directly contribute to their current diagnosis of ESRD if the stones were successfully treated. However, it may still be relevant to their overall kidney health and risk factors.

B. This statement is concerning. Family history of kidney stones and a sister with ESRD may indicate a genetic predisposition to kidney disease and warrants further evaluation.

C. This statement is positive. Changing the diet to avoid kidney stones is a proactive step to protect kidney health and reduce the risk of kidney damage.

D. This statement requires further evaluation by the nurse. While hypertension and diabetes are well-known risk factors for ESRD, the absence of kidney stones does not rule out other potential causes or risk factors for the client's current diagnosis.

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A client with ESRD reports experiencing severe muscle cramps and twitching. Which nursing intervention is appropriate to address this symptom?

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Naxlex Comprehensive Predictor Exams

A client with a history of chronic kidney disease asks the nurse about the factors that can worsen kidney function. Which response by the nurse is accurate?

Correct Answer is B

Explanation

A nurse is assessing a client with ESRD and asks about their history of kidney stones. Which statement by the client requires further evaluation by the nurse?

Correct Answer is D

Explanation

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